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1265567804
STACEY MICHELLE WALLACE CRAWFORD
LOUISVILLE, KY
NPI
1265567804
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Other Name
STACEY MICHELLE WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: KY 44088)
Enumeration Date
2007-02-23
Last Update Date
2019-09-26
Business Address
Dr. STACEY MICHELLE WALLACE CRAWFORD M.D.
4004 DUPONT CIR STE 230
LOUISVILLE, KY 40207
Phone number: 502-893-1333
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Mailing Address
Dr. STACEY MICHELLE WALLACE CRAWFORD M.D.
2700 STANLEY GAULT PKWY STE 129
LOUISVILLE, KY 40223-5176
Phone number: 502-489-6613
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